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Volume 18, Number 6—June 2012

CME ACTIVITY

Pretransplant Fecal Carriage of Extended-Spectrum β-Lactamase–producing Enterobacteriaceae and Infection after Liver Transplant, France

Frédéric BertComments to Author , Béatrice Larroque, Catherine Paugam-Burtz, Federica Dondero, François Durand, Estelle Marcon, Jacques Belghiti, Richard Moreau, and Marie-Hélène Nicolas-Chanoine
Author affiliations: Hôpital Beaujon, Clichy, France (F. Bert, B. Larroque, C. Paugam-Burtz, F. Dondero, F. Durand, E. Marcon, J. Belghiti, R. Moreau, M.H. Nicolas-Chanoine); Université Paris VII Faculté de Médecine D. Diderot, Paris, France (C. Paugam-Burtz, F. Durand, J. Belghiti, M.H. Nicolas-Chanoine); INSERM U 773 Centre de Recherche Biomédicale Bichat-Beaujon, CRB3, Paris (F. Durand, R. Moreau, M.H. Nicolas-Chanoine)

Main Article

Table 3

Antimicrobial drug susceptibility, ERIC-2 PCR type, and β-lactamase gene content of the 39 clinical isolates of ESBL-producing Enterobacteriaceae identified, France, January 2001–April 2010*

Species Year of isolation Susceptibility
ERIC-2 PCR type β-lactamase types†
TZP FOX AMK CIP CTX-M-1 group CTX-M-9 group ESBL TEM Non-ESBL TEM ESBL SHV Non-ESBL SHV
E. coli 2003 S S S R 1 + +
E. coli 2004 R S S R 2 + +
E. coli 2004 R R S S 3 +
E. coli 2007 R R R R 4 +
E. coli 2007 S S S R 5 + + +
E. coli 2008 S S R R 6 +
E. coli 2008 R S S R 7 +
E. coli 2008 S S S S 8 + + +
E. coli 2009 S S R R 9 + +
E. coli 2009 S S S R 10 +
E. coli 2009 S R R R 9 + +
E. coli 2009 R S R R 11 + + +
E. coli 2009 R S S R 4 + +
E. coli 2010 R S R R 12 +
E. coli 2010 S S S S 13 +
E. coli 2010 R R R R 14 +
K. pneumoniae 2008 R S S R 15 + +
K. pneumoniae 2008 R S S R 16 + +
K. pneumoniae 2010 R R R R 17 + + +
K. pneumoniae 2010 R R R R 17 + + +
K. pneumoniae 2010 R S S R 15 + +
K. oxytoca 2009 R R R R 18 +
K. oxytoca 2009 R R R R 18 +
K. oxytoca 2009 R R R R 18 + +
C. koserii 2006 S R R R 19 + +
C. koserii 2006 S R R R 19 + +
E. cloacae 2002 R R R R 20 + -
E. cloacae 2004 R R R R 21 + + +
E. cloacae 2004 R R S R 22 +
E. cloacae 2004 R R I R 23 +
E. cloacae 2005 R R R R 24 +
E. cloacae 2008 S R R R 25 + + +
E. cloacae 2008 S R R R 21 + +
E. cloacae 2009 R R S R 26 + +
E. cloacae 2009 R R S R 27 +
E. cloacae 2009 S R R R 28 + +
E. cloacae 2010 S R R R 29 + +
E. aerogenes 2002 R R R R 30 + +
E. aerogenes 2005 R R R R 31 + + + +

*ERIC-2, enterobacterial repetitive intergenic consensus sequence type 2; ESBL, extended-spectrum β-lactamase; TZP, piperacillin/tazobactam; FOX, cefoxitin; AMK, amikacin; CIP, ciprofloxacin; E. coli, Escherichia coli; S, susceptible; R, resistant; K. pneumoniae, Klebsiella pneumoniae; K. oxytoca, Klebsiella oxytoca; C. koserii, Citrobacter koserii; E. cloacae, Enterobacter cloacae; E. aerogenes, Enterobacter aerogenes.
†The types of β-lactamase were identified by the Check-KPC ESBL microarray system (Check-Points, Wageningen, the Netherlands).

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